Thursday, November 5, 2015


See - Republic of the Philippines Social Security System

Registration and Membership

Member Forms

 Personal Data Record
 Member's Data Change Request
 Unified Multi-Purpose ID (UMID) Card Application Form
 Non-working Spouse Record
 Self-Employed Data Record
 Overseas Worker Record
 Kasambahay Unified Registration Form

Employer-Member Forms

 Employer Registration Form

 Employment Report
 Employer Data Change Request

 Employer Registration Plate
 Household Employer Unified Registration Form
 Household Employment Unified Report Form

Application for Special Programs

 Cooperative Accreditation as Servicing/Collecting Agent
 Sickness and Maternity Benefits Payment thru the Bank Form


 Contribution Collection List
 Contributions Payment Return
 Contributions Payment Form
 Miscellaneous Payment Return
 Auto-Debit Arrangement Enrollment Form
 Auto-Debit Arrangement Amendment Form

Member Loans

 Member Loan Application (Typhoon Mario)
 Salary Loan Application
 Member Loan Payment Return
 Real Estate Loan Payment Return
 Housing Loan Moratorium Form
 Educational Assistance Loan Program
 Application for Subsequent Release of Educational Assistance Loan
 Application for Direct House Repair and/or Improvement Loan


Benefit Applications

 Application for Assistance Due to Calamity/Disaster (Typhoon Mario)
 DDR Application Form under Portability LawCertification

Sickness Benefit

 Sickness Notification Form
 Sickness Reimbursement Form
 Sickness Benefit Application Form (for Unemployed/Self-Employed/Voluntary)
 Medical Certificate

Maternity Benefit

 Maternity Notification
 Maternity Reimbursement

Retirement Benefit

 Retirement Claim
 Affidavit of Separation from Employment

Disability Benefit

 Disability Claim
 Employment Data Form
 Medical Certificate

Death Benefit

 Death Claim
 Affidavit for Death Claim Benefits

Funeral Benefit

 Funeral Claim

Annual Confirmation of Pensioners

 Application Form (Pensioner's Reply)
 Application Form (Certified by Official/Regular Employee)
 Pensioner's Data Change Request Form

EC Benefits

 EC Claim for Temporary Total Disability or Sickness
 EC Medical Reimbursement Benefit Application
 EC Accident/Sickness Report

Flexi Fund Program

 Flexi Fund Enrollment Form
 Early Withdrawal Claim Form
P.E.S.O. Fund Program
 SSS P.E.S.O. Fund Enrollment Form
 SSS P.E.S.O. Fund Payment Form
 SSS P.E.S.O. Fund Amendment Form

Supplementary Forms

 Specimen Signature Card
 Sinumpaang Salaysay